How can Pemphigoid Gestationis be treated?
The primary aim of treatment is to relieve itching, prevent blister formation and treat any secondary infection. It is also important during pregnancy to use treatments that are as safe as possible for both mother and baby. Topical steroid creams can be used in mild cases if only a limited area of skin is affected. Even if the rash is quite extensive a trial of a strong steroid cream may be worthwhile before steroid tablets are given, as creams are less likely to cause side effects. Oral antihistamines (only those suitable for use during pregnancy) can be used to relieve itching. Treatment for more severe disease (with blistering) is usually with high doses of steroid tablets to get the disease under control rapidly. This needs careful monitoring and should involve the obstetricians, to look at both the health of the mother and baby. The dose of steroid tablets may need to be increased at the end of pregnancy to prevent the disease flaring after delivery. Blisters may be burst (with a
